Objective: This study was designed to evaluate
patients treated with subureteric injection (STING) and
ureteroneocystostomy by the Lich-Gregoir technique (LGT) due to
vesicoureteral reflux (VUR) in terms of radiologic, scintigraphic
images, laboratory findings and bladder functions and determine the
effectiveness of both treatment modalities.
Methods: A total of 106 patients, who were treated
with STING and ureteroneocystostomy between January 2002-2010 were
investigated. Patients’ age, gender, complaints at presentation, bladder
function impairment, laboratory outcome and radiologic and
scintigraphic findings were retrospectively examined. The relationship
among VUR grades and pelvicalyceal ectasia, scars, treatment modalities
and outcome were evaluated.
Results: Left VUR was found in 68(64%) and right VUR
in 38(36%) of the patients. The most common level of VUR was Grade III
(42 patients, 40%). Additional urologic pathologies were found in 60 of
the 106 of patients (57%). Pelvicalyceal ectasia was found in 44 (42%)
and scars were seen in dimercaptosuccinic acid (DMSA) in 54 (51%) of the
patients. In total 86 (81%) of 106 patients with VUR recovered
completely and 20 (19%) patients with VUR regressed.
Conclusion: STING is a good alternative especially for
patients with low grade VUR. However, it has some drawbacks, such as
requiring a long follow-up period, having a lower rate of success
compared to open surgery and being less effective in patients with high
grade VUR. Ureteroneocystostomy (LGT) is a method with less morbidity
and a high success rate, especially in the treatment of patients with
higher grade VUR. J Clin Exp Invest 2016; 7 (2): 168-173
Subjects | Health Care Administration |
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Journal Section | Research Article |
Authors | |
Publication Date | June 16, 2016 |
Published in Issue | Year 2016 Volume: 7 Issue: 2 |